高频重复经颅磁刺激（rTMS）对脑外伤患者认知功能的影响.

Objective To observe the effects of rTMS on cognitive function in patients with traumatic brain injury. Methods A total of 160 patients with traumatic brain injury admitted to Yan’an Hospital of Kunming City from January 2021 to January 2022 were selected as the research objects and randomly divided according to the admission sequence number by random number table method. There were 80 cases in the treatment group and 80 cases in the control group. The control group was given sham rTMS stimulation on the basis of conventional drug treatment and cognitive training, while the treatment group was given true rTMS stimulation on the basis of conventional drug treatment and cognitive training, once a day, for a total of 4 weeks. Mini-Mental State Examination ( Mini-mental State Examination) was performed before and 4 weeks after treatment. The cognitive function of the two groups was evaluated by MoCA, MMSE, RBMT. Results Intra-group comparison: the MMSE scores ( orientation ability, memory ability, recall ability, calculation ability) of the treatment group were all improved compared with those before treatment ( P < 0.05), while the MMSE scores ( orientation ability, immediate memory ability) of the control group were only improved compared with those before treatment ( P < 0.05). In the treatment group, the RBMT scores ( remembering surname and given name, remembering artifact, remembering convention, picture recognition, immediate path memory, orientation) were all in- creased compared with those before treatment ( P < 0.05), while in the control group, the RBMT scores ( remembering surname and given name, remembering artifact, picture recognition, orientation) were only increased compared with those before treatment ( P < 0.05). The MoCA scores ( memory, language, calculation, orientation) in the treatment group were higher than those before treatment ( P < 0.05), while the MoCA scores ( memory, orientation) in the control group were only higher than those before treatment ( P < 0.05). Comparison between groups: After treatment, the total scores of MMSE, RBMT and MoCA in the treatment group were higher than those in the control group ( P < 0.05) . Conclusion rTMS can effectively improve the cognitive function of patients with traumatic brain injury. [ABSTRACT FROM AUTHOR]